Service Academy Nomination | U.S. Representative Jimmy Gomez

Thank you for your interest in the U.S. Service Academies. As your Representative in the U.S. House of Representatives, each year I have the privilege of nominating a limited number of people to the U.S. Service Academies. The honor of attending a service academy comes with an obligation and commitment to serve in the military for a minimum of five years upon graduation. To learn more and apply, please fill out the below form or contact my Los Angeles office at (213) 481-1425. Best wishes to you as you pursue your goal of attending one of the U.S. Service Academies and serving our country.

Your Contact Information Prefix First Name * Last Name * Suffix Email Address * Address * City * State * Zip Code * Phone Number * Date of Birth * Gender * US Citizen *

Yes

Country of Citizenship

Parent/Guardian Information Parent/Guardian Name * Address * City * State * Zip Code *

Education Information High School Name * Address * City * State * Zip Code * GPA * Class Size Rank Graduation Date

SAT Test Scores Math Writing Critical Reading Composite

ACT Test Scores English Math Reading Science Composite

Academy Information First Pick Second Pick Third Pick Fourth Pick An appointment to the Service Academies is based on a desire by the candidate to devote a lifetime of military service and implies recognition by the appointee of an obligation to the government to devote him / herself to a military career. Are you interested in an appointment on that basis?

Yes

Additional Information Extracurricular Activities Name of Hometown Newspaper Is it ok to use your name in a press release?

Yes

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Office Locations

Washington, DC Office

1226 Longworth HOB
Washington, DC 20515
Phone: (202) 225-6235
Los Angeles, CA Office

350 S. Bixel Street, #120
Los Angeles, CA 90017
Phone: (213) 481-1425
Fax: (213) 481-1427